Look up the most recent NPI and PECOS records

Bawan Babanzadeh

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

3601 The Vanderbilt Clinic, Nashville, TN 37232-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Bawan Babanzadeh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:34 AM.

Profile Details

Provider ID
1144055328
Provider Type
Individual
Full Name
Babanzadeh, Bawan
Gender
Female

Sole Proprietor
No
Enumeration Date
9/5/2024
Last Updated
1/22/2025

Contact Information

Practice Location

3601 The Vanderbilt Clinic, Nashville, TN 37232-0001

(615) 322-3000

Unlisted Fax

Mailing Location

3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 36663 Tennessee
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 14069940 Tennessee

Bawan Babanzadeh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Brown, Kaitlyn Pate

Krasnow, Kayli

Byrd, Sandra Morrison

Sutherland, Martha D.

Kunic, Russell

Ortiz, Shovan

Allison, Melanie

Wallace, Deborah Elaine

Hamlet, Regina Salai

Woods, Michael Ryan